A portable, hand-holdable Blanching Response Tester apparatus (BRT)
pressable against the skin of a human patient to provide an indication of
a non-blanchable erythema indicative of an incipient pressure sore
includes a housing having in a front end wall thereof an optically
transmissive window and within the housing a broad-band light source
electrically energizable to emit light including energy in the near
infrared (0.8.mu. to 1.5.mu.) outwards through the window. A first,
leading photodetector spaced laterally apart from the light source and a
second, trailing photodetector spaced equidistant from the light source
in an opposite direction have fields of view which include regions of the
skin ahead of an behind a central area of the skin illuminated by the
light source. Electronic signal processing circuitry within the BRT
housing includes a pair of differential amplifiers having opposite pairs
of inputs connected to the pair of photodetectors, one amplifier driving
a first, "NO-GO" red, light-emitting diode mounted in an upper wall panel
of the housing, and the other amplifier driving a second, "GO" green LED.
When the BRT window is pressed against the skin and the light source
energized, if light reflected from the skin by leading photodetector over
a questionable area of the skin exceeds light reflected from a known
healthy sample area of skin beneath the trailing photodetector the red,
NO-GO LED is illuminated if the difference in light values exceeds a
first threshold values signifying a pressure sore, and if light received
by the trailing photodetector exceeds that received by the leading
photodetector by a second threshold value, the green, GO LED is
illuminated.